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FIRST NATIONAL DAILY eMEDICAL NEWSPAPER OF INDIA
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  From the desk of editor in chief
Dr KK Aggarwal

Padma Shri and Dr B C Roy National Awardee
Dr KK Aggarwal
President, Heart Care Foundation of India; Sr Consultant Physician, Cardiologist and Dean Medical Education Moolchand Medcity; Chairman Ethical Committee Delhi Medical Council; Chairman (Delhi Chapter) International Medical Sciences Academy; Hony Director IMA AKN Sinha Institute (08–09); Hony Finance Secretary National IMA (07–08); Chairman IMA Academy of Medical Specialties (06–07); President Delhi Medical Association (05–06), President IMA New Delhi Branch (94–95, 02–04); Editor in Chief IJCP Group of Publications & Hony. Visiting Professor (Clinical Research) DIPSAR

 
  Editorial …

14th January, 2011, Friday                                eMedinewS Presents Audio News of the Day

For regular emedinews updates follow at www.twitter.com/DrKKAggarwal

NIH study identifies ideal body mass index

A study looking at deaths from any cause found that a body mass index (BMI) between 20.0 and 24.9 is associated with the lowest risk of death in healthy non–smoking adults. The results appear in the Dec. 2, 2010, issue of the New England Journal of Medicine. They found that healthy women who had never smoked and who were overweight were 13% more likely to die during the study follow–up period than those with a BMI between 22.5 and 24.9. Women categorized as obese or severely obese had a dramatically higher risk of death. As compared with a BMI of 22.5 to 24.9, the researchers report a 44% increase in risk of death for participants with a BMI of 30.0 to 34.9; an 88% increase in risk for those with a BMI of 35.0 to 39.9; and a 2.5 times (250%) higher risk of death for participants whose BMI was 40.0 to 49.9. Results were broadly similar for men.

Overall, for men and women combined, for every five unit increase in BMI, the researchers observed a 31% increase in risk of death. The increased risk of death for a BMI of 25 or greater was also seen in all age groups, although it was more prominent for those who were overweight or obese before age 50.

Dr KK Aggarwal
Editor in Chief
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  eMedinewS Audio PostCard

  MEDICON 2010, 26 December
53rd Annual Delhi State Medical Conference

Dr Sharad Lakhotia speaks on ‘What’s New in Lasik Laser

Audio PostCard
 
  SMS of the Day

(By Dr GM Singh)

It takes only a minute to get a crush on someone, an hour to like someone, and a day to love someone– but it takes a lifetime to forget someone.

 
    Photo Feature (from the HCFI Photo Gallery)

 2nd eMedinewS Revisiting 2010: Doctor of the Year Awards

Dr Praveen Bhatia being felicitated with 'eMedinewS Distinguished Speaker of the Year 2010' Award.

 
Dr K K Aggarwal
 
    National News

Certificate courses in 2D and 3D Echocardiography/Fellowship Diploma in non invasive cardiology

Contact Dr KK Aggarwal, Moolchand Medcity, email: emedinews@gmail.com

PGI to discuss having MBBS courses

Introduction of the MBBS course in PGI would be discussed in the academic committee meeting on January 17, which would be chaired by the union health minister, Ghulam Nabi Azad. It is expected that the course would be approved in the subsequent meetings with the Institute Body (IB) and the Governing Body (GB). (Source: The Times of India, Jan 12, 2011)

Low–cost drugs key to health for all

Setting up a national network of pharmacies to produce generic low–cost drugs and establishing a mechanism of bulk purchase of patented drugs to make them affordable are some ways to make healthcare accessible to all, recommend the country’s top public health experts in The Lancet: India Series Special released on Monday. Health costs push 39 million of India’s 1.2 billion people below the poverty line each year, with out–of–pocket spending accounting for 78.1% of total spending on health. Insurance and the public sector account for a very small proportion of the burden, unlike in the West where 80% of the spending is by governments. "To create a health system that works for all, public spending on health should be gradually raised from the current 1.1% to 6% and 15% of tax revenues — including new taxes on tobacco, alcohol and unhealthy foods — should be earmarked for health," said Dr K Srinath Reddy, president of the Public Foundation of India and Indian editor of the series that a wide–ranging review of India’s under–resourced health system. (Source: Hindustan Times, Jan 12, 2011)

A campaign against blindness

Delhi Medical Association and Delhi Ophthalmologist Society have in a joint venture decided to work together to protect people from blindness caused by diabetes. "Uncontrolled diabetes may lead to blindness due to diabetic retinopathy. As part of this venture, a campaign will be launched in Delhi where camps will be organised across the city to educate diabetic patients and provide free eye screening. The first of the series of camps will start from January 16 at 25 centres across the city, providing awareness and free screening to diabetic patients," said DMA president Dr. Narender Saini. Diabetes has emerged as a major health problem in India. According to Diabetes Atlas, published by the International Diabetes Federation (IDF), there were an estimated 40 million persons with diabetes in India in 2007 and this number is predicted to rise to almost 70 million people by 2025. (Source: The Hindu, Jan 13, 2011)

 
    International News

(Contributed by Rajat Bhatnagar, International Sports & Fitness Distribution, LLC http://www.isfdistribution.com)

One third of US babies obese or at risk for obesity

One third of US babies are obese or at risk for obesity, said researchers who monitored around 8,000 babies from 9 months to 2 years and also found that those were obese at 9 months had the highest risk of being obese at 2 years. Dr Brian G. Moss, from the School of Social Work, Wayne State University in Detroit, Michigan, and Dr William H. Yeaton, from the Institute for Social Research at the University of Michigan in Ann Arbor, published their analysis of children’s early weight trajectories from the Early Childhood Longitudinal Study–Birth Cohort (ECLS–B) in the January/February 2011 issue of the American Journal of Health Promotion, which is available online. The ECLS–B draws from a nationally representative sample of American children born in the year 2001 and with diverse socioeconomic and racial/ethnic backgrounds.

(Dr Monica and Brahm Vasudev)

Private ICU rooms may lower infection risks

Intensive care unit (ICU) patients placed in private rooms may pick up less than half as many infections as those in rooms with multiple beds, hints a new Canadian study. Nearly one in every three ICU patients catch a new bug in the hospital. Dana Teltsch of McGill University, in Quebec and her team analyzed data from 19,343 ICU admissions between 2000 and 2005 at the two Montreal hospital centers, one of which underwent an overnight switch to only private ICU rooms in March 2002. In total, the hospitals recorded 6,597 bacteria, yeast and fungi infections over the 5–year period.

For the three bacteria that were at the focus of infection control –– methicillin–resistant Staphylococcus aureus (MRSA), vancomycin–resistant Enterococcus species (VRE) and Clostridium difficile –– the combined risk of a patient acquiring an infection fell by 54 % after the transition to private rooms, taking into account the infection rate at the comparison hospital. Further, the average patient in a private room stayed in the ICU 10 percent fewer days after the conversion, report the researchers in the Archives of Internal Medicine. Private rooms may allow for more frequent hand washing and easier cleaning. The isolation strategy could also reduce the number of patient transfers between rooms.

Lancet says sorry for ‘Delhi bug’

Naming the drug resistant superbug New Delhi Metallo Beta Lactamase–I (NDM–1) after India’s capital city was a "big mistake", Dr Richard Horton, editor of the prestigious British medical journal ‘The Lancet’. Dr Horton told TOI that "it was an error of judgement" on their part to allow the article get published with the name NDM–1 as "we didn’t think of its implications for which I sincerely apologise." Dr Horton, however, strongly felt that the science "was strong, sound and correct" but in the mistake of naming the bug, "it distracted people from the important science". In August 2010, ‘Lancet’ had published a multi–centre study, warning how a new superbug had emerged from India and had spread across the world which made bacteria highly resistant to almost all antibiotics, including the most powerful class called carbapenems.

Statins may be harmful after stroke

Patients given statins after suffering a hemorrhagic stroke may be at an increased risk of having another such stroke. Statins help reduce the risk of heart disease and ischemic stroke. Lead researcher Dr. Steven M. Greenberg, director of the Hemorrhagic Stroke Research Program at Massachusetts General Hospital in Boston, published the report in Jan. 10 online edition of the Archives of Neurology.

 
    Infertility Update

Dr. Kaberi Banerjee, Director Precious Baby Foundation

What advice do you have for young women to prevent possible future fertility problems?

Sexually transmitted diseases (STDs) can be a major cause of future infertility, so young women should ALWAYS have protected sex. Also, women should consult with their Ob/Gyn if they have irregular menstrual cycles or have painful periods or ovulation. If your doctor is dismissive and does not offer to find a cause and solution to your problems, find a physician who will. Unfortunately, many couples’ biggest barrier to conception is an Ob/Gyn who is unfamiliar with the latest technology to treat the causes’ of infertility even though the woman may not presently be trying to conceive.

For queries contact: banerjee.kaberi@gmail.com

 
    Nutrition Update

Dr. Neelam Mohan, Director Pediatric Gastroenterology, Hepatology and Liver Transplantation, Medanta – The Medicity

Lead poisoning

Lead poisoning occurs when lead builds up in the body. Children and adults can get lead poisoning by breathing or swallowing dust that contains lead. Your body does not have a use for lead. When it is absorbed, it affects almost every body system. Even small amounts can be harmful. No one knows exactly how much lead it takes to cause health problems. Young children also absorb lead more easily than adults. Lead is most dangerous to young and unborn children because their bodies and brains are still growing and developing. Lead can interfere with normal brain development, resulting in permanently reduced IQ and behavioral problems. Young children are more at risk for exposure to lead because children explore their environment by putting their toys, hand and other objects in their mouths. Any of these objects could have lead dust on them. If children put objects with lead dust in their mouths, they can become lead poisoned. In addition, they spend a lot of time on the floor where sources of lead are likely to be found.

 
    Medicolegal Update

Dr Sudhir Gupta, Associate Professor, Forensic Medicine & Toxicology, AIIMS

What is exhumation?

In case of foul play, controversy or dispute related with any unnatural or natural death of a person or persons or death allegedly due to any criminal action and where the cremation had been already performed without any legal investigation and postmortem examination or the reliability of the previous investigation or postmortem examination is proved prima facie doubtful, exhumation of the body is done for further investigation.

  • The word exhumation literally means ‘out of ground.’ The word exhumation comes from Latin words ex meaning ‘out of’, and humus, meaning ‘ground.’
  • Exhumation is necessary, when the first post–mortem was inadequate, and it is thought that a second post–mortem may bring some more facts to light means exhumation combined with doing a second meticulous post–mortem.
  • The dead body can only be exhumed when there is a written order from executive magistrate or a higher Court of Law of the land.
  • In exhumation, the concerned police official should approach the appropriate government hospital in writing along with the order of exhumation to constitute a medical board of at least three qualified and experienced doctors.
  • Material found in exhumation/spot and further examination should be done as per law.
  • Resting places and the norm of many cultures is that the dead should not be disturbed. However, for a variety of reasons, they are disturbed through the process of exhumation.

(Ref: Anil Aggrawal’s Internet Journal of Forensic Medicine and Toxicology Volume 2, Number 2, July–December 2001)

 
    Lab Update

Levels of total cholesterol, LDL and apolipoprotein B, increase significantly in women at the time of menopause thus increasing the risk factors for coronary heart disease.

 
    Rabies Update

Dr AK Gupta, APCRI, Author of "RABIES – the worst death"

Can rabies infection be transmitted through environment?

Rabies infection can be transmitted through aerial (by aerosol) route. This is the suspected route in bat rabies in Latin America where men while passing through caves containing carcasses of bats reportedly acquired bat rabies infection. Bats have small teeth and claws, it is possible to be bitten by a bat and not know it. Therefore, if you find you've been sleeping in the same room with a bat you should see a doctor as soon as possible. This also applies if a bat is found in a room with a child or a mentally impaired or intoxicated person.

Bats that are the easiest to approach and capture (unable to fly, etc.) are the most likely to have rabies, so it is best to never handle any bat. Bat rabies is not present in India.

 
    Medi Finance Update

Understanding Mutual Funds

Payment of Claim All claims under this policy shall be payable in Indian currency. All medical treatments for the purpose of this insurance will have to be taken in India only. For the purpose of settlement of claim a TPA (Third Party Administrator) is appointed by the insurer to scrutinize the claim documents and settle the same on cashless basis.

 
    Drug Update

LIST OF APPROVED DRUG FROM 01.01.2010 TO 31.8.2010

Drug Name
Indication
DCI Approval Date
Ferrous ascorbate 100mg + Folic acid 1.1 mg tablet and Omega–3–fatty acid 200mg capsules combikit
For iron, folic acid & omega–3-fatty acid deficiency
08/01/2010
 
    IMSA Update

International Medical Science Academy (IMSA) Update

Blood pressure control in children with chronic kidney disease

Intensified blood pressure control with a targeted goal of a 24–hour mean arterial pressure (MAP) below the 50th percentile, compared with conventional blood pressure control, results in slower progression of chronic kidney disease in children.

 
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Our Contributors
  Docconnect Dr Veena Aggarwal
  Docconnect Dr Aru Handa
  Docconnect Dr Ashish Verma
  Docconnect Dr A K Gupta
  Docconnect Dr Brahm Vasudev
  Docconnect Dr GM Singh
  Docconnect Dr Jitendra Ingole
  Docconnect Dr. Kaberi Banerjee
  Docconnect Dr Monica Vasudev
  Docconnect Dr MC Gupta
  Docconnect Dr. Neelam Mohan
  Docconnect Dr. Naveen Dang
  Docconnect Dr Prabha Sanghi
  Docconnect Dr Prachi Garg
  Docconnect Rajat Bhatnagar
  Docconnect Dr Sudhir Gupta
    IJCP Special

Dr Good Dr Bad

Situation: A patient wanted to know if his pre-hospital bills are covered under claim.
Dr. Bad: They are not covered.
Dr. Good: They are covered.
Lesson: All expenses incurred related to the diseases upto 30 days prior to hospitalization are covered under Mediclaim.

Make Sure

Situation: A neonate in an ICU being administered IV calcium exhibits signs of inflammation and necrosis at injection site.
Reaction: Oh my God! Why didn’t you observe the IV site carefully.
Lasson: Make Sure that all hypocalcemic neonates are put on a cardiac monitor while receiving calcium infusions and the IV site is closely observed, because extravasation of calcium can produce severe interstitial necrosis.

 
    Lighter Side of Reading

An Inspirational Story
(Contributed by Dr Prachi Garg)

The important things in life

A philosophy professor stood before his class with some items on the table in front of him. When the class began, wordlessly he picked up a very large and empty mayonnaise jar and proceeded to fill it with rocks, about 2 inches in diameter. He then asked the students if the jar was full. They agreed that it was. So the professor then picked up a box of pebbles and poured them into the jar. He shook the jar lightly. The pebbles, of course, rolled into the open areas between the rocks. He then asked the students again if the jar was full. They agreed it was.

The professor picked up a box of sand and poured it into the jar. Of course, the sand filled up everything else.

He then asked once more if the jar was full. The students responded with a unanimous "Yes." "Now," said the professor, "I want you to recognize that this jar represents your life. The rocks are the important things – your family, your partner, your health, your children – things that if everything else was lost and only they remained, your life would still be full.

The pebbles are the other things that matter – like your job, your house, your car. The sand is everything else. The small stuff." "If you put the sand into the jar first," he continued "there is no room for the pebbles or the rocks. The same goes for your life.

If you spend all your time and energy on the small stuff, you will never have room for the things that are important to you. Pay attention to the things that are critical to your happiness. Play with your children. Take your partner out dancing. There will always be time to go to work, clean the house, give a dinner party and fix the disposal.

Take care of the rocks first – the things that really matter. Set your priorities. The rest is just sand."

— — — — — — — — — —

Mind Teaser

Read this…………………

Job I‘m Job

Yesterday’s Mind Teaser: Eye E See Except
Answer for yesterday’s Mind Teaser:
Eye before E, Except after See (‘i’ before ‘e’, except after ‘c’)

Correct answers received from: Dr Sudipto Samaddar, Dr Muthumperumal Thirumalpillai, Dr K.Raju, Dr (Maj. Gen.) Anil Bairaria

Answer for 12th January Mind Teaser: The correct answer is D.
Correct answers received from: Dr Muthumperumal Thirumalpillai, Dr U Gaur

Send your answer to ijcp12@gmail.com

— — — — — — — — — —

Laugh a While
(Contributed by Dr Mukul Tiwari)

At a Car Dealership:

"The best way to get back on your feet – miss a car payment."

 
    Readers Responses
  1. Dear Dr. KK Aggarwal, Excellent job done! Thanks for the wonderful conference. Teamwork divides the task and multiplies the success. With warmest regards: Dr. Praveen Bhatia
 
    Public Forum

(Press Release for use by the newspapers)

Human Body needs servicing too

While automobile vehicles need preventive servicing every three months, human body needs it every two months, said Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India.

As per Ayurveda, seasons change every two months, approximately in the middle of the month.

Ayurveda describes these changes and precautions to be taken in great detail. The current Makar Rashi season, which starts today with sun changing its direction northwards resulting into lengthening of day and shortening of night time needs many lifestyle changes to balance health and prevent diseases. Vata gets aggravated, kapha gets accumulated and pitta gets depleted in this season.

In allopathic language, pitta denotes metabolic functions, vata signifies movement functions and kapha stands for secretory functions of the body.

Lohri, Makar Sankranti and Pongal are celebrated with khichdi, milk, gur, bhaat, sesame laddu, light hot food and beverages, etc all indicating measures to reduce vata and kapha and to increase pitta in the body.

 
    Forthcoming Events

eMedinewS Events: Register at emedinews@gmail.com

IMSA Workshop on Rheumatoid Arthritis

Date: Sunday 16th January, 2011; Venue: Moolchand Medicity; Time: 10–12 Noon

Speakers:

  1. Understanding Biologics: Dr Rohini Handa, Former Head Rheumatology, AIIMS
  2. All what a practitioner should know about rheumatoid arthritis: Dr Harvinder S Luthra, Chief of Rheumatology, Mayo Clinic, Rochester USA

No fee. Register emedinews@gmail.com or sms 9899974439

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